Technical Claims Specialist
5 days ago
We're a unique insurance company that stands out from the rest. Our specialty products, business model, culture, and results all contribute to our distinct approach. We're committed to delivering a better insurance experience, and we're passionate about forging strong relationships and providing care that makes a difference.
Our team of talented, ethical, and smart employee owners is united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. We're proud to be a Glassdoor Best Places to Work company with a strong financial track record.
Job SummaryWe're seeking a skilled Technical Claims Manager to join our team. This role involves handling New York Casualty GL and commercial excess liability large loss claims proactively to achieve optimum payout results. The ideal candidate will have a strong background in casualty claims, with a focus on complex claims and New York Labor Law.
Key Responsibilities- Handle claims in accordance with RLI's Best Practices.
- Assess coverage issues on claims and issue appropriate coverage letters/documentation.
- Complete timely investigation of claim and post appropriate reserves.
- Proactively manage outside counsel on litigated claims.
- Bachelor's degree plus 6+ years of handling casualty claims, with a concentration in complex casualty and New York Labor Law claims.
- Extensive experience in handling complex GL and commercial excess liability claims, including the management of outside counsel.
- Knowledge of New York Construction/Labor Law statutes impacting the handling and evaluation of such claims.
We're committed to providing a comprehensive compensation package, including a competitive salary, employee stock ownership plan (ESOP), 401(k) with automatic 3% company contribution, and annual discretionary 401k and ESOP profit-sharing contribution (up to 15% of base salary). We also offer paid time off, paid volunteer time off, parental and family care leave, flexible and hybrid work arrangements, fitness center discounts, and employee assistance program.
Why Join RLI?We're an equal opportunity employer and a leader in the insurance industry. We're committed to attracting, developing, and retaining the best talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.
-
Senior Technical Claims Specialist
5 days ago
New York, New York, United States Liberty Mutual Full timeAbout the RoleWe are seeking a highly skilled Senior Technical Claims Specialist to join our Complex Construction Unit. This role will be responsible for determining coverage, investigating complex claims, and resolving disputes.Key ResponsibilitiesDetermine coverage and investigate complex claimsResolve disputes and negotiate settlementsManage relationships...
-
Senior Technical Claims Specialist
11 hours ago
New York, New York, United States Liberty Mutual Full timeAbout the RoleWe are seeking a highly skilled Senior Technical Claims Specialist to join our Complex Construction Unit. This role will involve determining coverage, investigating complex claims, and negotiating settlements.Key ResponsibilitiesDetermine coverage and investigate complex claimsNegotiate settlements and resolve claimsManage relationships with...
-
Senior Technical Claims Specialist
12 hours ago
New York, New York, United States Liberty Mutual Full timeAbout the RoleWe are seeking a highly skilled Senior Technical Claims Specialist to join our team at Liberty Mutual. As a key member of our Construction Complex, you will play a critical role in driving and enabling the success of our Commercial Casualty organization.Key ResponsibilitiesDetermine coverage, investigate complex and highly complex Commercial...
-
Health Claims Specialist
22 hours ago
New York, New York, United States Lower Eastside Service Center Full timeJob Title: Health Claims SpecialistWe are seeking a skilled Health Claims Specialist to join our team at the Lower Eastside Service Center. As a Health Claims Specialist, you will be responsible for processing routine Institutional and Professional claims, investigating pending claims, resolving discrepancies, and reviewing insurance coverage.Key...
-
Insurance Claims Specialist
4 weeks ago
New York, New York, United States Collabera Full timeJob OverviewPosition Title: Insurance Claims SpecialistWork Arrangement: RemoteContract Duration: 7+ monthsCompensation: $18 - $20 per hourRole Summary:The Insurance Claims Specialist will be responsible for managing Travel Insurance Claims. An active adjuster's license from New York state is mandatory, and possessing licenses from multiple states is highly...
-
Claims Specialist
1 day ago
New York, New York, United States AXIS Capital Holdings Limited Full timeClaims Specialist Job DescriptionAXIS Capital Holdings Limited is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will play a critical role in analyzing and resolving claims in a best practices claim environment.Key Responsibilities:Exercise critical thinking and proper judgment to analyze claim exposure and determine the...
-
Insurance Claims Specialist
1 day ago
New York, New York, United States Riccobene Associates Family Dentistry Full timeJob SummaryThe Remote Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company.Key ResponsibilitiesClaims Processing: Ensures claims are processed accurately to secure timely payment.Customer Service: Responds to...
-
New York, New York, United States Argo Group Full timeAbout the RoleWe are seeking a highly skilled Senior Technical Claims Specialist-General Liability/Bodily Injury to join our team. As a key member of our claims team, you will be responsible for adjudicating complex general liability bodily injury claims for our customers.Key ResponsibilitiesAdjudicate highly complex claims with limited oversight, utilizing...
-
Claims Specialist
17 hours ago
New York, New York, United States Northwell Health Full timeJob SummaryWe are seeking a skilled Claims Specialist to join our team at Northwell Health. As a Claims Specialist, you will be responsible for performing various billing, collection, and third-party reimbursement functions.Key ResponsibilitiesReview and investigate claims to be adjudicated by the TPA, ensuring compliance with provider contracts and...
-
Senior Claims Specialist
7 days ago
New York, New York, United States CNA Full timeJob SummaryWe are seeking a highly skilled and experienced Senior Claims Specialist to join our team at CNA. As a key member of our commercial insurance claims team, you will be responsible for managing complex claims with high exposure, ensuring timely and accurate resolution, and providing exceptional customer service.Key ResponsibilitiesManage an...
-
Claims Review Specialist
5 days ago
New York, New York, United States City of New York Full timeJob SummaryWe are seeking a highly skilled Claims Review Specialist to join our team at the City of New York. As a Claims Review Specialist, you will be responsible for reviewing and processing claims for potential SNAP benefit overpayments.Key ResponsibilitiesReview and process claims for potential SNAP benefit overpayments using USDA/FNS/OTDA SNAP benefit...
-
Claims Review Specialist
2 weeks ago
New York, New York, United States City of New York Full time{"title": "Claims Review Specialist", "subtitle": "Join Our Team", "content": "At the City of New York, we are seeking a highly skilled Claims Review Specialist to join our team. As a Claims Review Specialist, you will be responsible for reviewing, processing, and determining potential SNAP benefit overpayments. You will apply USDA/FNS/OTDA SNAP benefit...
-
Healthcare Claims Specialist
5 days ago
New York, New York, United States Eateam Full timeAbout the RoleWe are seeking a skilled Healthcare Claims Specialist to join our team at Eateam. As a key member of our revenue cycle process, you will play a critical role in ensuring the accuracy and efficiency of our claims submission and payment processing.Key ResponsibilitiesReview and correct claim edits to ensure compliance with payer...
-
Eligibility Claims Specialist
3 weeks ago
New York, New York, United States City of New York Full timeJob SummaryThe City of New York is seeking a highly skilled Claims Review Specialist to join our team in the Revenue Office. As a Claims Review Specialist, you will be responsible for reviewing, processing, and determining potential SNAP benefit overpayments.Key ResponsibilitiesReview and process cases assigned manually or via Automated SNAP Claim System...
-
Seasonal Warranty Claims Specialist
2 weeks ago
New York, New York, United States Ernesta Full timeAbout ErnestaErnesta is a pioneering company dedicated to revolutionizing the custom rug industry. Our mission is to provide high-quality, design-focused rugs to homes and places of gathering through an enjoyable, frictionless, and affordable experience.We believe that high-quality custom design shouldn't be out of reach for consumers and aim to address this...
-
Claims Resolution Specialist
3 weeks ago
New York, New York, United States Catholic Health Service Full timeInsurance Billing & Claims Resolution SpecialistFacility: Catholic Health ServicesDepartment: Billing and Claims Follow-upCategory: Administrative / Business SupportSchedule: Full TimeShift: Day shiftHours: 8 AM - 4 PMPosition Overview: Under the supervision of the Physician Revenue Realization Manager, the Insurance Billing & Claims Resolution Specialist is...
-
Claims Management Specialist
4 weeks ago
New York, New York, United States City of New York Full timeBecome a vital member of our team at the City of New York and contribute significantly to the management of 1st Party No-Fault claims. As a Claims Management Specialist, your primary responsibility will be to oversee individual claims, authorize disbursements, manage arbitrations, process expenses, and more. Key Responsibilities: Oversee individual...
-
Claims Resolution Specialist
3 weeks ago
New York, New York, United States Catholic Health Service Full timeInsurance Billing and Follow-Up SpecialistFacility: Catholic Health ServicesDepartment: Billing and Claims ManagementCategory: Administrative SupportSchedule: Full TimeShift: Day ShiftHours: 8 AM - 4 PMPosition Overview: Under the supervision of the Physician Revenue Realization Manager, the Insurance Billing and Follow-Up Specialist plays a crucial role in...
-
Claims Processing Specialist
3 weeks ago
New York, New York, United States Barasch & McGarry Full timeJob SummaryWe are seeking a highly organized and detail-oriented Claims Processing Specialist to join our team at Barasch & McGarry. As a Claims Administrator, you will play a critical role in the timely processing and management of clients' Victim Compensation Fund claims.Key ResponsibilitiesProcess and manage client claims in a timely and efficient...
-
Complex Claims Specialist
12 hours ago
New York, New York, United States CNA Full timeJob Title: Complex Claims SpecialistWe are seeking a highly skilled Complex Claims Specialist to join our team at CNA. As a key member of our Financial Institutions /Public D&O claims group, you will be responsible for handling D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as banks, insurance companies,...
